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DIP and ARC missing components

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

What component is missing: "It makes me feel like I’m not important to you, and honestly, it makes me want to stop hanging out with you. I need you to actually listen when I’m talking."

a)

Describe the damage

b)

Identify the impact

c)

Provide a path

d)

Acknowledge the pain

2.

What component is missing

"You went through my backpack without asking. From now on, do not touch my stuff unless I say it’s okay."

a)

Describe the damage

b)

Identify the impact

c)

Provide a path

d)

Commit to change

3.

What component is missing

"You told the whole lunch table about my crush! I was so embarrassed I wanted to hide under the table. I can't believe you did that."

a)

Describe the damage

b)

Identify the impact

c)

Provide a path

d)

Demonstrate restraint

4.

What component is missing

"I feel really unsafe when you act like that. I need you to promise you won't do it again."

a)

Describe the damage

b)

Identify the impact

c)

Provide a path

d)

Repair the harm

5.

What component is missing

"You still haven't paid me back the $20 you borrowed last week. I need that money by Friday."

a)

Describe the damage

b)

Identify the impact

c)

Provide a path

d)

Repair the harm

6.

What component is missing

"Fine, I'll delete the picture right now. And I promise I won't post anything of you without asking again."

a)

Acknowledge the Pain

b)

Repair the Harm

c)

Commit to change

d)

Describe the damage

7.

What component is missing

"I'm so sorry I spilled Gatorade on your homework. I feel terrible. I promise to be more careful with my drinks next time."

a)

Acknowledge the Pain

b)

Repair the Harm

c)

Commit to change

d)

Continue the love

8.

What component is missing

"I totally get why you're mad, that was a mean joke to make. I'll go tell the group I was just being stupid and it wasn't true."

a)

Acknowledge the Pain

b)

Repair the Harm

c)

Commit to change

d)

Absolve your responsibility

9.

What component is missing

"My bad. Here, take my jacket since I ripped yours."

a)

Acknowledge the Pain

b)

Repair the Harm

c)

Commit to change

d)

Identify the impact

10.

What components are missing

"I am so sorry I ghosted you yesterday. I know it made you feel ignored and that wasn't fair."

a)

Acknowledge the Pain

b)

Repair the Harm

c)

Commit to change

d)

Respectfully respond